Individual
BRIAN ROBERT MCNULTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-S
Contact information
Practice address
706 KIMBERLY ANN CIR, MANDEVILLE, LA 70471-6732
(504) 931-8294
Mailing address
706 KIMBERLY ANN CIR, MANDEVILLE, LA 70471-6732
(504) 931-8294
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2346
LA
Other
Enumeration date
04/03/2007
Last updated
01/24/2020
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